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Creamy Tortellini Soup with Sausage & Spinach

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This 30 minute creamy Tortellini Soup with spinach and Italian Sausage is the ultimate comfort food and the perfect one pot meal for chilly days. Serve with homemade Texas Toast, Garlic Cheese Biscuits, or 20 Minute Drop Biscuits to complete your meal.

tortellini soup in white bowl

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I’m a soup girl, I just love it. I have soup for lunch almost every day so I am constantly trying new recipes or remaking old favorites, whether its Hibachi Clear Soup, Taco Soup, Broccoli Cheese Soup, or this flavorful creamy tortellini soup with Italian sausage and spinach.

Why I love this recipe

  • it’s a one pot meal ready in just 30 minutes
  • with pasta and spinach, it’s a complete meal on its own
  • it is easy to customize to suit your family’s tastes


I love that this recipe doesn’t require anything “fancy” but still packs in the flavor!

tortellini soup ingredients

Do you have extra spinach to use up? Try these spinach feta tarts, creamed spinach, or this delicious spinach artichoke dip!

Step by step

  1. Brown the sausage in the bottom of a large stockpot along with diced onion. Add garlic once meat is browned and cook for a minute before adding broth. You can customize the flavor of your soup by using mild or spicy sausage.
  2. Make the soup by adding the broth and deglazing the bottom of the pot to get all those flavorful bits! Add the tomato paste, salt, and garlic and stir to blend. Simmer the soup for 15 minutes.
  3. Finish it off adding the tortellini, spinach, and heavy cream. Cook for 4 minutes or until spinach is wilted and tortellini is done.
  4. Serve with parmesan cheese. It’s also delicious with some nice crusty bread!

Tips for best results

This recipe is pretty straight forward and hard to mess up!

  • Do not skip the deglazing step, those brown bits at the bottom of the pot after cooking the sausage add a ton of flavor to the soup base.
  • Don’t over cook the tortellini, it only takes a few moments. It is the same for the spinach, it cooks quickly so add it just before serving.
  • Add the heavy cream slowly while stirring to avoid curdling.


How do you store this soup?

Store leftovers in an airtight container in the refrigerator up to 3 days. Reheat in the microwave or on the stovetop. *Tortellini will be softer than served fresh but still tastes delicious!

Can this recipe be frozen?

You can freeze this soup without the tortellini. Store in a freezer-safe container for up to 3 months. Thaw overnight in the refrigerator and cook on the stovetop, adding the tortellini just before serving and cooking 4 minutes afterward.

Can I use meat other than sausage?

The sausage adds a lot of flavor to the soup but you could certainly make this with ground beef, ground pork, shredded or ground chicken, or leave the meat out all together. If you skip the sausage I recommend adding Italian seasoning to taste for additional flavor.

Can I make this without the spinach?

It is fine to leave out the spinach.

Can I use frozen tortellini?

Yes, you will need to adjust the cooking time according to the package directions.

Can I use frozen spinach?

I do not recommend using frozen spinach for this recipe as it tends to turn out mushy in the soup.

tortellini soup in white bowl

Serving suggestions

Wondering what to serve with soup? Here are some of my favorite ideas:

If you try this recipe, please comment and rate it below, I love hearing from you!

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tortellini soup in white bowl

Creamy Tortellini Soup with Sausage and Spinach

5 Stars 4 Stars 3 Stars 2 Stars 1 Star

5 from 2 reviews


This 30 minute creamy Italian Sausage Tortellini Soup with spinach is the ultimate comfort food, it is the perfect one pot meal for chilly days.


Units Scale
  • 1 lb Italian ground sausage
  • 1 yellow onion, diced
  • 3 teaspoon minced garlic
  • 8 cups chicken broth
  • 4 tablespoons tomato paste
  • 1 teaspoon salt
  • 2 cups heavy cream
  • 20 ounce bag refrigerated tortellini
  • 10 ounce bag fresh spinach
  • parmesan cheese for serving, optional


  1. In a large stockpot, add sausage and onion and cook over medium-high heat until sausage is browned and onion is translucent.
  2. Add garlic and cook 1 minute.
  3. Add broth to the pot and stir to deglaze the bottom of the pot.
  4. Add tomato paste and salt and stir. Bring to a boil then reduce heat and simmer 15 minutes.
  5. Stir in heavy cream, then add tortellini and spinach.
  6. Cook 4 minutes then remove from heat.
  7. Serve immediately, topped with parmesan cheese if desired.
  • Prep Time: 5 minutes
  • Cook Time: 25 minutes
  • Category: soup
  • Method: stovetop
  • Cuisine: American

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  1. We all enjoyed this recipe so much. Had a lot of flavor- definitely a keeper! My only suggestion is to eliminate all the pop up ads on here. It’s ridiculous trying to read the recipe through all of it.

    1. Thanks for the feedback Rachel, I’m glad you liked the recipe. I will try to figure out what is popping up, if you are able can you let me know what kind of device you were on: desktop/phone/tablet? That will help me troubleshoot.

  2. LOVE LOVE LOVE EVERYTHING ABOUT THIS RECIPE!!! Could I use Orzo pasta vs that listed in the recipe?

    Thanks, Janet

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